CMS Price Transparency Data

Blood test, potassium

Facility: HCA Florida Citrus Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $43
  • Cash Discount Price: $723
  • vs. Medicare Baseline: 9.03x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at HCA Florida Citrus Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $723. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.03x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
$723

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $723 (15189%)
Insurance Median: $43 (903%)
Cash: $723 (15189% of Medicare)
Ins. Median: $43 (903% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 903% of the Medicare baseline (a markup of 803%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Caresource $4 84%
Humana $4 - $202 84%
Aetna $5 - $217 105%
Align Senior Care $5 105%
American Health Plan $5 105%
Blue Cross Blue Shield $5 105%
Centurion $5 105%
Cigna $5 105%
Clear Spring Health $5 105%
Florida Complete Care $5 105%
Gold Kidney Of Florida $5 105%
Hernando-Pasco Hospice $5 105%
Ndms Definitive Care $5 105%
Secur $5 105%
Sunshine State $5 105%
Ultimate Health Plan $5 105%
United $5 - $325 105%
United Behavioral Health $5 105%
United Va Ccn $5 105%
Wellcare $5 105%
Wellmed $5 105%
Oscar $6 126%
Simply Healthcare $6 126%
Access 2 Healthcare Physicians Freedom Optimum Group Members $34 714%
Access 2 Healthcare Physicians Freedom Health $43 903%
Access 2 Healthcare Physicians Optimum $43 903%
Corvel Corporation $43 903%
Rockport Healthcare Group $43 903%
Prime Health $44 924%
Freedom Health Care $47 987%
Optimum Healthcare $47 987%
Avmed $58 - $181 1218%
Molina $137 - $195 2878%
Evolutions Healthcare Systems $166 - $665 3487%
Sunshine State Health Plan $184 3866%
Beacon Health Options $361 7584%
Plotkin Health $361 7584%
Prime Health Sheriff $361 7584%
Multiplan $542 - $614 11387%
Evernorth $578 12143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals